PWS-CTTech 06.18.2026.docx

Cheyenne River Health Center Performance Work Statement Non-Personal Services

DIAGNOSTIC CT TECHNOLOGIST

General

This performance based work statement describes the requirements for non-personal services for the recruitment, credentialing and placement for Diagnostic CT Technologist to support the mission of the Indian Health Service (IHS)/Cheyenne River Health Center (CRHC).

Background

The Indian Health Service (IHS) an agency within the Department of Health & Human Services is responsible for providing federal health services to American Indians and Alaska Natives. The Indian Health Service provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaska Natives who belong to 567 federally recognized tribes, in 35 states. The Indian Health Service Headquarters is located in Rockville, MD and then divided into twelve physical areas: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland and Tucson.

Our facility, the Cheyenne River Health Center (CRHC), falls under the GPAO. CRHC provides medical care for approximately 9,000 tribal members living on the CRST Reservation. Serving a rural area, many of our patients travel 100 miles round trip to receive care. The CRHC was built in 2011 to provide an expanded level of health care services specifically designed to meet the needs of the CRHC population. The Cheyenne River Sioux Tribe through a 638 contract with IHS, operates four satellite health stations which offer basic ambulatory services at Cherry Creek, Red Scaffold, Swiftbird, and Whitehorse communities. Services include: Emergency Room Department, Pharmacy, Physical Therapy, Public Health Nursing, Radiology Services, Inpatient Care, Laboratory, MRI, Dental, Community Health, Contract Health Services, Dietitians, Audiology, Eye Care, Inpatient, Pain Management, and Specialist Clinics: OB/GYN, ENT, Podiatry & Neurology.

Objective

To provide uninterrupted CT Technologist services, in the delivery of patient care, for the Radiology Department at the Cheyenne River Health Center.

Period of Performance Date of award, plus two Option Years.

TOUR OF DUTY

Contract CT Tech will work into current departmental schedule. Assignments will require shifts of no less than eight (8) hours and no more than twelve (12) hours. These shifts may rotate any time during the twenty-four (24) hour period for a total of 80 hours in a two-week pay period. Holidays and weekends will be included as part of the 80 hour work period. All scheduled hours will be determined by Radiology Supervisor. Occasional On-Call status may be required.

Regular Hours: Working rotating 8-12 hours shifts, during a two week period and equal 80 hours in a two week period.

Overtime Hours: Any hours worked over 80 hours in a two week period.

On-Call: The contractor is off duty, but remains available by telephone for the purpose of being contacted when unanticipated situations arise, and remains within a reasonable call-back radius, and reports for duty within 45 minutes of contact, or if live on campus, within 30 minutes of contact.

Work Flexibility: Because we are a health facility and there are compliance issues where coverage is mandatory, work schedules shall occasionally change. As directed by the departmental supervisor, the contractor shall rotate into other duty sections as needed to support patient care.

A 30 minute unpaid meal break will be included with each shift. Lunch breaks will be taken at the approximate midpoint of the shift, and will not be saved in order to leave 60 minutes early. rest periods, not to exceed 15 minutes every four hours of scheduled duty, if not on a call at that time. Rest periods will not be used for a continuation of lunch/dinner period or taken at the beginning or end of the workday.

Hours worked do not include travel time to reach the CRHC or other place of performance.

Compensation: The contractor shall be paid a fixed flat rate of per hour. No differential pay for government holidays, compensation time, and night differential. Holidays and weekends shall be included as part of the 80 hour work period and considered regular hours. Regular, and/or Overtime shall be determined by the Radiology Department Supervisor.

Task Order: An order issued in accordance with the terms of the contract that details an ordering activity’s specific requirements. An ordering activities written order to obtain services, at a minimum will include the following where applicable: description of services, hours, price, period of performance, contract number, and the ordering activities task order number.

Place of Performance: Cheyenne River Health Center Radiology Department 24376 166th Street Eagle Butte, South Dakota 57625

SCOPE OF WORK

The Contractor will be required to provide a variety of computerized tomography & diagnostic radiographic examinations. The government reserves the right to accept or reject services if the level of performance is unsatisfactory to Indian Health Service.

The Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards must be considered and adhered to at all time in order to be compliant. All Medical Record Information generated inthe performance of this contract shall remain the property of and subject to the exclusive control of the Indian Health Service. The Contractor is responsible for maintaining Patient Confidentiality and adhering to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996.

PERSONNEL

CT Technologists must have highly proficient experience with Toshiba CT equipment. CT Technologist may assist in the training of departmental staff. Diagnostic/CT Technologists must have verified documentation that technologists who perform diagnostic/CT examinations participate inongoing education that includes annual training on safe radiation protection practices in the Radiology environment.

CERTIFICATIONS

The AART Certification for CT is desired but not required.

Contracting Officer’s Representative Designation The Contracting Officer Representative (COR) designated for this Project is:

Daniel Donnell 605-964-0507 Cheyenne River Health Center 24276 166th Street, Airport Road Eagle Butte, SD 57625 The COR is responsible for:

a. Monitoring the Contractor’s technical progress;

b. Interpreting the statement of work;

c. Technical evaluation as required;

d. Technical inspections and acceptance required by this contract; and,

e. Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

EMERGENCY SERVICES

On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours described above.

LANGUAGE

The contractor must be able to read, write, speak and understand English.

EMPLOYEES APPEARANCE

Contractor personnel shall present a neat appearance and be easily recognized. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges that contain the company name and employee name.

GOVERNMENT REVIEW

The government may review the contractor's QC plan to determine if it is adequate. If the plan is found to be adequate, a government will authorize the plan. If the plan is not adequate as submitted, the deficiencies will be identified to the contractor in writing. The contractor shall correct all identified deficiencies and submit a corrected QC plan within 10 working days or by contract start date whichever is sooner. Contractor-performed work that fails to conform to standards when this CO performs quality assurance (QA) work will serve as an indicator at the contractor is QC system is not adequate.

Technical evaluation as required Technical inspections and acceptance required by this contract.

Assisting in the resolution of technical problems encountered during performance of this contract.

GOVERNMENT MONITORING

Government will monitor the contractor's performance under this contract using the method(s) of surveillance specified in the performance standards. All monitoring observation will be recorded by the government. When and observation indicates defective performance, this COR will request the contractor's representative to confirm defective work and perform corrective action.

PERFORMANCE EVALUATION MEETINGS

The contract manager may be required to meet weekly with that COR or others during the first month of the contract meeting shall be as often as necessary thereafter as determined by this CO. However, if the contractor requests, a meeting will be held whenever a contract discrepancy report is issued. The meetings shall focus on contractor performance and actual or potential problems.

All documentation, records, and schedules as described in the SOW that are the responsibility of the contractor are the property of the government and shall be turned over to the government upon completion or termination of the contract. All records are subject to the Freedom of Information and/or Privacy Acts and any request for release of any records shall be handled accordingly.

Acceptable Quality Level (AQL) The maximum percent defective (or the maximum number of defects per 100 units) that, for purposes of random sampling, may occur before the government will effect the price computation system in accordance with that performance standards and the Inspection of Services clause. When the method of surveillance is other than random sampling, the AQL is defined as the number of defects or maximum percentage of defects and a lot that may occur before the government will effect the price computation system in accordance with the performance standards and the Inspection of Services clause. An AQL does not allow a contractor to knowingly offer defective service but limits reduced payment to circumstances in which defective performance results in a measurable reduction in the value of services rendered.

Performance Standards (PS) Identifies the key service outputs of the contract that will be evaluated by the Government to ensure contract performance standards are met by the contractor.

Quality Assurance (QA) The actions taken by the Government to ensure that services meet the requirements of the SOW.

Contracting Officer's Representative A Government person designated by the CO with authority to act within the scope of the delegated authority.

Quality Assurance surveillance Plan (QASP) The purpose of the QASP is to describe the systematic methods used to monitor performance and to identify the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the PWS and the contractor's quality control plan (QCP), and to ensure that the government pays only for the level of services received.

Quality Control (QC) Those actions taken by contractor to control the performance of services so that services meet the requirements of the PWS.

Random Sampling A sampling method in which each service output in a lot has an equal chance of being selected.

A sample consists of one or more service outputs drawn from a lot. The number of outputs in the sample is the sample size.

GOVERNMENT-FURNI SHED PROPERTY

The government will provide any property, power, facilities, forms, supplies, and phone lines or physicians services if needed during the term of this contract.

PERFORMANCE STANDARDS

Face Masks/Badges: The contractor personnel will be required to obtain and wear badges and masks, in the performance of this service at all times.

Lodging: The Contractor shall be responsible for arranging lodging for their employees that work under this contract. Government Housing is available on a limited basis. Please check with the Cheyenne River Housing Manager for availability and rates at least two weeks before arrival is expected. The CRHC does offer furnished units for contract employees. Depending on the needs of the CRHC and the contract employee, there are unfurnished units available for extended periods of employment. The contract employee is responsible for executing the rental agreement and prompt payment. The Government does not guarantee government housing availability and will be on a first come first serve basis.

Emergency Health Care: IHS/Cheyenne River Health Center will provide emergency healthcare of the contract providers for injuries incurred while on duty at the facility. These services will be billed to the Contractor at the current full reimbursement rate.

Security/Background Investigation To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The Government has determined the position sensitivity under this effort to be Level I.

To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

-HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/ -HHS Office of Security and Drug Testing, personnel Security Suitability Handbook, http:://www.hs.gov/ocio/policy/hhs-ocio-2011-0003.html -HHS HSPD-12 Implementation Policy (draft) The minimum Government investigation for a non-critical sensitive position is a National Agency Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person’s background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

This security applies to all sub-contracts and/or sub-contractors associated and/or created from this contract.

Required Security Clearance Forms for credentialing and security clearance will be provided to the contractor after award.

References Statutes, Acts, Laws, and/or Regulations generally applicable to IHS security and functions, include, but are not limited to:

· Health Information Technology for Economic and Clinical Health Act

· Federal Information Security Management Act (FISMA), part of the E-Government Act of 2002 (Public Law 107-347, Title II)

· OMB Circular A-130 and Appendix III, Security of Federal Automated Information Resources

· OMB Circular A-11, Preparing, Submitting, and Executing the Budget

· Presidential Decision Directive 63 (PDD 63)

· NIST Special Publications – 800 Series

· Health Insurance Portability and Accountability Act (HIPAA)

· Indian Healthcare Improvement Act (HCIA) – Public Law 94-437

· Crime Control Act 1990 – Public Law 101-647

· Indian Child Protection and Family Violence Prevention Ace Public Law 101-630

· Privacy Act of 1974

· Section 508 of the Rehabilitation Act of 1973

· Courtesy and Respect in the Workplace Policy Business Agreement Pursuant to 45 C.F.R. 164.502(e), the Indian Health Service, as a covered entity, is required to enter into an agreement with a “business associate”, as defined in 45 C.F.R. 160.103, under which the business associate must agree to appropriately safeguard Protected Health Information (PHI) that is will use and disclose when performing function, activities or services pursuant to its contract with IHS. Therefore, a business associate agreement shall be attached to this contract and executed upon award of this contract. See attached Business Associate Agreement.

Invoice Submission:

Invoices shall be submitted through Invoice Processing Platform (IPP). The IPP website address is: https://www.ipp.gov In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests” IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Contractors are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date. It will be the responsibility of the contractor to keep active and maintain there SAM.gov account, in order to keep there IPP account active. Payment is sent via E.F.T., through the account registered in SAM.gov.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov or ihse-invoicingteam@ihs.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to the solicitation should include an explanation of this position, for a determination by the contracting officer to allow non-IPP invoicing.

The contractor shall submit a signed and approved invoice to request payment through IPP, at least bi-weekly. If services are billed at an hourly rate, invoices will include timesheets, signed off by the department supervisor.

The Contractor shall include the following information on each invoice in accordance with the Prompt Payment Act (5 CFR Part 1315.9(b):

1. Contractor's name;

2. Invoice number and date;

3. Entire award number/Contract number or other authorization number for delivery of goods or services;

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. UEI number and Taxpayer Identifying Number (TIN); and

7. Contact name (where practicable), title and telephone number.

Only actual hours worked must be invoiced for, at the Fixed Rate referenced in the award document(s). The government reserves the right to not use all hours enacted under each task order and will de-obligated excess hours at close-out of the task order.

Mandatory Background/Security Clearance Requirements:

The employees of the Contractor or its subcontractors, are subject to a background investigation and shall comply with Section 231 of the Crime Control Act of 1990, P.L. 101-647; and the Indian Child Protection and Family Violence Prevention Act, P.L. 101-630. In addition, each person shall also comply with the Privacy Act of 1974 and the HIPPA Act of 1996. Failure to comply with these statutes will result in immediate removal.

Contractor personnel performing work under this contract, which involve regular contact with, or control over, Indian children, are subject to a character investigation in accordance with the “Indian Child Protection and Family Violence Prevention Act” P.L. 101-630. The Indian Health Service Personnel Office will conduct these investigations following award of a contract unless in the judgment of the Contracting Officer, in consultation with the Personnel Officer, investigation may be waived based on prior investigations on file. Until the character investigation has been completed and the Contracting Officer notified, such individual shall not have unsupervised contact with Indian children. This level of security is required, and must be maintained for the life of the contract.

Before starting work requiring routine access to I.H.S. facilities or systems each person must complete a FBI National Criminal History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the Office of Personnel Management Personnel Investigations Processing System.

Fingerprint cards need to be mailed by USPS, UPS, or Fed Ex, to: Cheyenne River Health Center Background Clearance 24276 166th Street Eagle Butte, South Dakota, 57625

The only acceptable format for official fingerprints is federal document FD-258 (Rev. 5-15-17) 1110-0046. The fingerprints must be ORIGINAL in ink. The document must be completed in its entirety. The fingerprint form when completed can be sent using USPS, Fed-Ex or any commercial carrier but must be sent to the address and person named above.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of Inspector General List of Excluded Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor-Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractors suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with IPA’s or MOA’s to tribal organizations please, click here IHS Sexual Abuse Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and Time to their respective Department Supervisor, COR, and Kimmen LeBeau, e-mail: Kimmen.LeBeau@ihs.gov

Request Background documents from the contractor, to complete the clearance process, should be mailed/FedEx to the designated background coordinator with 5-7 days.

Since the background clearance process may take up to 2 weeks to be processed and cleared, candidates coming on board should have their complete background documents properly filled out, Employee Health Records, and fingerprint cards, sent to the background coordinator 10 days before there scheduled start date. Failure for delay of getting the required background documents into the Background coordinator, will be reflect on contractors rating performance and entered into CPARS.

Mandatory Employee Health Records Requirements:

Clearance from the Employee Health Coordinator (EHC) needs to be obtained prior to the contractor arriving to the facility, this means all records have been collected and reviewed by the EHC. The EHC will mark the contractor as “Yes” in the Cleared Column of the database when they have been cleared by the EHC in the Onboarding Database.

The required records are:

· Two (2) documented vaccinations of MMR or a titer showing immunity to Mumps, Measles (Rubeola), Rubella

· Three (3) documented vaccinations of hepatitis b or a titer showing immunity to hepatitis B

· Two (2) documented vaccinations of varicella or a titer showing immunity to varicella

· COVID-19: Completed primary series along with most recent bivalent booster vaccine

· Medical and Religious Exemptions may be submitted – will need to be reviewed and approved / disapproved by EHC

· Appeals process not valid for contractors, only Federal Employees

· Tdap within the last 10 years

· PPD (purified protein derivative) or QuantiFERON- TB Gold within the last year or chest x-ray within last five (5) years to rule out Tuberculosis

· Neither item can expire within contracted time

· If contractor were to extend and the PPD/Gold/X-ray were to expire during the extension time frame, the expiring items must be completed and submitted to CRHC prior to extension being signed by CRHC

· Flu vaccine for current Flu Season if contracted between Oct 1 and March 31

· Fit Test within the last year to a mask that CRHC carries.

· Fit test cannot expire within contracted time

· If contractor were to extend and the fit test were to expire during the extension time frame, a new fit test must be completed and submitted to CRHC prior to extension being signed by CRHC Contactors are required to follow any Employee Health or Infection Control mandates given by Indian Health Services (IHS) Headquarters, IHS Great Plain Areas, IHS Cheyenne River Health Center, or the Infection Control Preventionist of CRHC. Listed are examples of mandates that would need to be follow as of 1.24.2023, these mandates are fluid and always changing:

· Mandatory Self Screening for COVID before each shift

· Mandatory masking for all areas of the facility

· Mandatory COVID Bivalent Booster Vaccination

Contracting Officer Authority

1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.

2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer.

3.2. A purported modification or change order issued by anyone other than the Contracting Officer.

3.3. Promise by anyone other than the Contracting Officer to provide additional funding or make payments.

3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

3.4.1. Incur Costs in excess of a specified estimated cost, allotment of funds, or other ceiling, or

3.4.2. Expend hours in excess of a specified level of effort.